Information Collection

Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process

IC 183056 under ICR 202304-0938-007 · OMB 0938-1042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10224 Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process	Form and Instruction
CMS-10224 MEARIS HCPCS Level II Application Screenshots. MEARIS HCPCS Level II Application Screenshots.pdf	Form and Instruction
CMS-10224 MEARIS HCPCS Level II Application Screenshots. MEARIS HCPCS Level II Application Screenshots.pdf	Form and Instruction
2023 HEALTHCARE COMMON PROCEDURE CODING SYSTEM (HCPCS) LEVEL II CODING PROCEDURES.pdf HCPCS LEVEL II CODING PROCEDURES	IC Document
2023 HEALTHCARE COMMON PROCEDURE CODING SYSTEM (HCPCS) LEVEL II CODING PROCEDURES.pdf HCPCS LEVEL II CODING PROCEDURES	IC Document

IC Title:

Healthcare Common Procedure Coding System (HCPCS) - Level II Code Modification Request Process

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 414.40 45 CFR 162.10002

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10224	MEARIS HCPCS Level II Application Screenshots.	MEARIS HCPCS Level II Application Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	100	150
Annual IC Time Burden (Hours)	2,500	1,000	1,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
HCPCS LEVEL II CODING PROCEDURES	2023 HEALTHCARE COMMON PROCEDURE CODING SYSTEM (HCPCS) LEVEL II CODING PROCEDURES.pdf	04/12/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.